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HomeMy WebLinkAbout1085 SEAHORSE CT; ; CB972098; PermitB U I L D I N G 07/30/97 09 :06 Page 1 of 1 Job Address: 1085 SEAHORSE CT Permit Type: ELECTRICAL Parcel No : 21 4-530-4 3-00 Valuation: O P E R M I T Suite: Lot#: Permit No: CB972098 Project No: A9702655 Development No: Construction Type: Occupancy Group: Reference#: Status : NEW ISSUED 07/30/97 07/30/97 JM Description: ELECTRICAL LINE TO PROPSED SPA Applied: Appl/Ownr : LUTY JOANNE 1085 SEAHORSE COURT CARLSBAD, CA 92009 *** Fees Required *** Fees: Adjustments: Total Fees: 20 .00 .00 20.00 *** Apr/Issue: 760 Entered By: 431-5421 Fees Collected & Credits Total Credits: Total Payments: Balance D\,le: .00 .00 20 .00 *** Fee description Units Fee/Unit Ext f ee Data Enter "Y" for Electric Issue Fee Enter "Y" for Remodel * ELECTR ICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 161 10.00 Y 10.00 Y 20 .00 -'ERM!T AP~LICATION FOR OFFICE USE O~ Y PLAN CHECK No.l Zo:18 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit _,..,.....,....,,.......,...--~- Validated By __ -'-Z,=--"~..,,_-""'O""'..-;~~+------ Date ___ ~..._...../'3~N- 1. PROjECT INFORMATION /095"" Seo...hor-s.e_ Address (Include Bldg/Suite II) Business Name (at this address) Legal Description V3 Lot No. Subdivision Name/Number 'Pr,·v._:k-~~ Unit No. Phase No. Total II of units ~l'-1 5"30 Assessor's Parcel II c..A·r-ic. Proposed Use Description of Work SO. FT. II of Bedrooms II of Bathrooms '.2. CONTACT PERSON llf dlffnnt from ipj,iii:anU Name Address City State/Zip Telephone II 13;""' APPLICANT • 0 Coriirtci8rs'f:;t::r~oenH~:!' .. ct=o-=-r -~'Wl!!.n!le~r~! :r."'_ D q.-irt16r'owri•i-'"!~111• .,.,.,t·"'". ~--~""ll""Mr'""', ~.~,.rt"?, ...... ,.-:· 1 , ~ I · -:3"o AY>n Lurt /Of:35"' SP,tl.~rsc. C.f CG..rh:. c,4 Name Address City 4. • PROPEiltv blNMElf"''"' 't•~~,il•P.:";:"F.~ t"'!~•~. B?oc.K A-LuTY x: :::S::o A LC.A ,y Name Address 6. ~ CONTRACTOR • COM~ANY'NAME . , ~~.-•.;rri:-r:!f'~r,-n ~'• 1 o ~ '>:: Se• h<>u-<-cl- city ..... ,~ State/Zip Telephone II ~-•.. •. "' ~""'!K•'l•,:·• (aclstx.J C!'t 9..2:Jo9 State/Zip Telephone II Fax II t ... ,, ..... ~... • (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Busine11 and Professions Code! or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for I permit subjects the applicant to• civil penalty of not more than five hundred dollars 1•5001). 5 lAo,,..J u P LANDsc 191?€ J~ 7 N Vu/cc..n ,41.1e.. enc..r",.,,,:ft..s CA 9.:lo.,g,'1'. 9-YY-/JS-~ Name · Address City State/Zip Telephone II State License II '1/5 q 9 / ~ License Class_________ City Business License II _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ncure workers' c:ompen■1tlon coverage la unlawful, and 1h11 aubject an employer to crlmlnal penaltlu and dvll fines up to -hunclred thousand dollars ($100,000), In addition to the cost of compenutlon, d■ff1111U u provided for In Section 3706 of the labor code, lnterut end attorney'■ fNa. SIGNATURE ______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION · ~ ' -• ··• • -·· ·-' "'. .,,.. ~ I hereby affirm that I am exempt from the Contractor's License law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of Hie). l5c1" I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bu1lne11 and Professions Code: The Qtractor' s License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contr1ctor(1) licensed pursuant to the Contractor"s License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include nama / address / phone number / contractors licen11 number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): · Is the applicant or future building occupant required to submit a busine11 Ian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley--Tanner H1z■rdOU1 Substance Account Act? 0 YES O NO Is the applicant or future b~ilding occupant required to obtain • permit from the air pollution control district or air quallty management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of• school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. le. C0NStilucTiol'l LENDINGiAGENcv. ""'"'".":"'f•r-:~r•~·,:~,.. or:'!:~"'""';'ii{'lf ~►-""f.'. .. ~-..,;••..,,~:::'.':~<:'l!."'I"~~:_" ~;,,:' ';;';'-.'!'.:""' "'."'':";'".. ...,. ·• !"'.f; 1 "'"': • •• -~ I hereby affirm that there is a construction landing agency for the performance of the work for wNch this permit la l11ued (Sec. 309711) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ rs~ APPLlcANT ceRTir'1dA t10,1~,,..,,-..... ll,~·~~~R1r,r~r:r.r:~jll~'!'•r.,:-::~:~."'·1i"m;I, , .-~";;ir::r.::+.~:::-:-::r'f11."'~;;,~ "l" 7[''"':.?="''! . , , -i,.:;:., • I certify that I have read the application and state that the above Information Is correct and thet the Information on the plans Is accurate. I ■grN·to comply with all City ordinances and State law, relating to building construction. I hefeby authorize repruent■tivn of the Cltt of Carllbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABIUTIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not commenced within 365 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work 11 c menced for a pe d 180 days (Section 106.4.4 Uniform Building Code). DATE 7-30-92: PERMIT# CB972098 DESCRIPTION: ELECTRICAL LINE TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 07/31/97 TO PROPSED SPA INSPECTOR AREA PLANCK# CB972098 OCC GRP JOB ADDRESS: 1085 SEAHORSE CT APPLICANT: LUTY JOANNE CONTRACTOR: STE: CONSTR. TYPE NEW LOT: PHONE: 760 431-5421 PHONE: ~ OWNER: REMARKS: C/JOANN SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 34 EL Rough Electric DATE DESCRIPTION PHONE: /J ,1 INSPECTOR~~'----"'-""----'-'<~.::...;;-""'"-''-_:_:-_-_-__ ACT COMMENTS f/J u ;::; tr1 trt----q. h-!&t'IW•'L e,t--fl-( ***** INSPECTION HISTORY***** ACT INSP COMMENTS